Charles Wesley Minor, is a medicare enrolled "Family Medicine" physician in Dora, Alabama. His current practice location is
2165 Highway 78 Ste 100, Dora, Alabama. You can reach out to his office (for appointments etc.) via phone at
(205) 648-4567.
Charles Wesley Minor is licensed to practice in Alabama (license number 43012) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700405503.
Physician's Profile
Full Name | Charles Wesley Minor |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 2165 Highway 78 Ste 100, Dora, Alabama |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700405503
- Provider Enumeration Date: 04/11/2020
- Last Update Date: 06/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 2860822533
- Enrollment ID: I20220923002023
Medical Identifiers
Medical identifiers for Charles Wesley Minor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700405503 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 43012 (Alabama) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charles Wesley Minor allows following entities to bill medicare on his behalf.
Entity Name | American Family Care, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669429080 PECOS PAC ID: 9739087818 Enrollment ID: O20031229000157 |
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Entity Name | Premier Health Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023226446 PECOS PAC ID: 3779684139 Enrollment ID: O20070730000251 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Wesley Minor is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Charles Wesley Minor, 301 Governors Dr Sw, Huntsville, AL 35801-5123 Ph: () - | Charles Wesley Minor, 2165 Highway 78 Ste 100, Dora, AL 35062-4539 Ph: (205) 648-4567 |
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